【摘要】 目的探讨和研究快速环甲膜穿刺和气管切开术在早期救治颅面部创伤中的临床意义。 方法对109例严重颅面部的损伤资料做回顾性分析。 结果 109例严重颅面部损伤Ⅱ度呼吸困难者56例SaO 2 ≥90%，常规备气管切开包，SaO 2 <75%～85%有50例，均穿刺和气管切开，其中1例为气管合并食管开放性损伤，2例为多发伤合并肺部爆震伤、挤压伤、脂肪栓塞、窒息和心包填塞，1例为颈椎高位骨折。本组病例中死亡3例。 结论 严重颅面部的损伤且有Ⅱ度呼吸困难者常规备插管、套管和穿刺针等，要重视患者全身情况。

    关键词 气管切开术 颅面复合伤 插管 急救

    The opportunity and time for intubation and trachectomy in saving the patients with serious craniofacial compound injury and trauma:a report of109cases

    Chen Li，Ma Shuangling，Deng Xiaoyan，et al.

    Department of Trauma，The Affiliated Hospital，Yan'an University，Yan'an716000.

    【Abstract】 Objective To explore and study the opportunity and time of trachectomy in early saving the patients suffered from serious craniofacial compound injury and trauma in early.Methods To analyse the craniofacial compound injury and trauma and to make a retrospective analysis for clinical data of109cases were performed.Results Three pa-tients was died ......